QUESTIONS AND ANSWERS SURE A+
✔✔Management of the client in seclusion - ✔✔-document client's behavior every 15-30
minutes.
-renew the prescription for seclusion for an adult client every 4 hours for a maximum of
24 hours.
-offer toileting every 15-30 minutes
✔✔methylphenidate - ✔✔Adverse effect:
weight loss
tachycardia
dry mouth
✔✔donepezil (Aricept) - ✔✔-given for Alzheimer's
-take medication in the evening at bedtime for optimal effectiveness
-slows the progression of the disease but does not reverse the pathological changes in
the brain
- do not crush, chew or split this medication because it can affect the absorption of the
medication
-orally disintegrating tablets can be prescribed for clients having difficulty with
swallowing the tablet.
, ✔✔Nursing care plans - ✔✔-The nurse will update the plan of care as a client's status
and needs change.
-Each client should have one plan of care that is initiated upon admission and used by
all interprofessional team members.
-Each client should have an individualized plan of care that addresses the unique
medical diagnosis, nursing care needs, and discharge plan.
✔✔Management of client with schizophrenia - ✔✔Trying to convince the client that
hallucinations aren't real negates the client's experience.
The nurse should assess the situation to determine if the client is hallucinating or
misperceiving external stimuli (experiencing illusions)
✔✔Signs of potential suicide - ✔✔- verbalize getting affairs in order
- increased energy
- show appreciation for loved ones when they are contemplating suicide
✔✔Dissociative amnesia - ✔✔a traumatic event that causes severe stress is a trigger
for dissociative amnesia.
expect to see injury associated with alcohol consumption.
✔✔Management of patient having a Panic attack - ✔✔- generally NOT disoriented
-Relaxation techniques such as deep, abdominal breathing exercises, help defuse
manifestations of anxiety
-stay with the client to ensure safety.
✔✔OCD - ✔✔- demonstrate a dedication to work that excludes time for other activities
-adhere to a rigid set of rules
-performs ADL's repetitively and precisely.
-client should be able to provide self-care with minimal risk for injury.
✔✔Avoidant personality - ✔✔unwilling to get involved socially unless they feel accepted
✔✔12-step program - ✔✔-teach the client to secure a sponsor because the client-
sponsor relationship has been shown to increase program -attendance and the chances
of recovery
-prescription not required
-client is responsible for recovery
✔✔Dependent personality - ✔✔needs excessive input from others to make everyday
decisions.
Self-sacrificing
excessively clingy
submissive